Provider Demographics
NPI:1417963737
Name:SCHEIBER, JON F (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:F
Last Name:SCHEIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45 WELLS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2927
Mailing Address - Country:US
Mailing Address - Phone:401-596-4499
Mailing Address - Fax:401-596-6360
Practice Address - Street 1:45 WELLS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2927
Practice Address - Country:US
Practice Address - Phone:401-596-4499
Practice Address - Fax:401-596-6360
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI11490207RC0000X
CT042454207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39455Medicare UPIN
RI007056596Medicare ID - Type Unspecified
CT060001608Medicare ID - Type Unspecified